| NPI | 1205187556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DIANE OESCH Sole Member 808-457-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 3781) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |